Provider Demographics
NPI:1588720767
Name:CALHOUN, GEORGE WARREN (DC)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:WARREN
Last Name:CALHOUN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7208 MCNEIL DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-7983
Mailing Address - Country:US
Mailing Address - Phone:512-258-6317
Mailing Address - Fax:512-258-4025
Practice Address - Street 1:7208 MCNEIL DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-7983
Practice Address - Country:US
Practice Address - Phone:512-258-6317
Practice Address - Fax:512-258-4025
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5536111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX84T742Medicare PIN
TXU38235Medicare UPIN